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Home My WebLink AboutSpecial Inspection Application 1985-1-11 , . , ~ . 8 aD Lal. COURTESY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD DATE ./- // -~S- ADDRESS OF INSPECTION ~O OWNER ~("?/")A7A4::d-g/9~/77 ADDRESS ~~ W./9~L I . ". I . RENTER ~~/f/ /?;?/J~rr4e~~ PHONE NO. /~ 4t Z2._..-? ~ . . SIGNATURE OF OCCUPANT OiiNTER) \(iJ/!-f i.LA_ ~f3tAfY~ . FOR ACCESS TO PROPERTY - TELEPHONE NUMBERO ';7~~ /?~ LJ \ , ~ PHONE. NO. BUILDING DIVISION /4J::=/f/)q~I/~ ~g~y~~~ . TYPE OF DWELLING: SINGLE FAMILY ~UPLEX 0 MULTIPLE 0 BRIEF DISCRIPTION OF MAJOR PROBLEMVS>vb/ ~fi~ ?V~~~~ ~ ~p~~~c:/ //?/~-!J/ ~~~;>~~.k", r~~ A"/8;r- ~/7,? ~A~~ ~ @ ~#~ /# Az:>;Z:- ~.-/-0<///;7;Y _?/~/~ ~'\'1~/ ~-7'/~ Cl) d~/lF"oo<\ jt2?('/7?~/A/& ~y ~~O~ @ ~y ~~ ~/2 ~ ./~,j~ ~/> ~r3~d ~~c://r~~ k'~:;;)r . FF/"'64'R~P -/0 P~Pc:r=' I-/S-~', FOR OFFICE USE ONLY ------------------------------------------------------------------------------'-------- D~te of Inspection Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date I . "